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Breastfeeding is one of the prime factors of long-term health protection in newborns, for nutritional, immunological and developmental reasons. In France there is a wide inter-regional variability of breastfeeding rates at discharge. This variability associates different factors involving both, mothers, birth conditions, newborns and mother-child couple. Some approaches, including osteopathy, aim to support early breastfeeding difficulties. As many others non-conventional medicines, there is a huge and growing interest for this alternative therapy and a spontaneous recourse in the first months of life. Nevertheless, neither efficacy nor the benefits have been studied. Thus, our objective is to evaluate for the first time in France, in a randomized, double-blinded design, the efficacy of early osteopathic manipulative treatment (OMT), in suboptimal breastfeeding behaviour healthy newborns.

128 couples mother-child will be randomized in two groups: with or without osteopathic intervention on the newborn.

To keep the blinded procedure the interventions will be realized behind a screen, allowing interactions with parents but depriving their visibility.

A telephone contact will be perform at M1 (one month of life) to assess breastfeeding persistence and collect questionnaire data.

Two others telephone contacts will be perform at 3 months and 6 months to precise breastfeeding interruption date.

The follow-up for each patient is 6 months

Placebo Comparator: Control group

Control group consists in classical medical and paramedical breastfeeding support. OMT on the newborn will be realized by osteopath dissimulated behind a screen. Placebo OMT consists to mimic, without the knowledge of parents, osteopathic techniques on a dolly.

Other: No Osteopathic manipulative Treatment

Visit 1 between H60 and discharge :

Interview (pregnancy steps, initiation of breastfeeding, baby posture…) Osteopathic Clinical exam and Treatment will not be realized. Newborn will be undressed, lying naked (covered with polar sheet) on the exam table, dissimulated to parents by adequate screen. The osteopathic procedure will take place on a dolly to mimic from an indiscernible manner, osteopathic management.

Time of intervention = 30 to 45 min Visit 2: 7 days after visit 1 (+/- 24H) with the same procedure.

To keep the blinded procedure the interventions will be realized behind a screen, allowing interactions with parents but depriving their visibility.

A telephone contact will be perform at M1 (one month of life) to assess breastfeeding persistence and collect questionnaire data.

Two others telephone contacts will be perform at 3 months and 6 months to precise breastfeeding interruption date.

The follow-up for each patient is 6 months

Eligibility

Information from the National Library of Medicine

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